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General NPI Number Information
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NPI Number | 1558572305
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Entity Type | Organization
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Legal Business Name | CHATTERING CHILDREN
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 1307 LAKESIDE AVE
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City | RICHMOND
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State | VA
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Zip | 23228-4710
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Country | US
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Telephone | 804-290-0475
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Fax | 804-290-0476
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Provider Business Mailing Address
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Address Line | 1307 LAKESIDE AVE
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City | RICHMOND
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State | VA
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Zip | 23228-4710
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Country | US
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Telephone | 804-290-0475
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Fax | 804-290-0476
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTINE EUBANKS
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Credential | PH.D.
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Telephone | 804-290-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2201001368
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License Number State | VA
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